Interpreter Feedback Form

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Interpreter's Name/ID Number:(Required)

Date of assignment(Required)

Time of assignment(Required)

Language of Interpretation:(Required)

Assignment ID:(Required)

Service Provider’s Name and Contact Information (optional):

Did the interpreter…(Required)

	Yes	No
Prepare for the interpretation session?
Arrive on-time? (If late, please mention by how many minutes in the comment section)
Introduce themselves to the client and the service provider at the start of the appointment?
In your opinion, accurately interpret all information from both the client and service provider without changing or omitting any part of the message?
Engage in a side-conversation with either the client or the service provider, before/during/after the interpretation session?
Maintain professional behavior and boundaries at all times?
Refrain from giving advice, expressing opinions, or counsel to clients?

Additional Comments

Overall, how satisfied were you with the interpreter’s ability to provide professional interpretation services? (Please select one)(Required)

Very Satisfied

Satisfied

Neutral

Unsatisfied

Very Unsatisfied

Other Comments

You can also download the following form and submit it via the email provided on the form.

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